Individual
JORGE DAVID NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10848 70TH RD, FOREST HILLS, NY 11375-3961
(718) 263-2072
(718) 261-9082
Mailing address
10848 70TH RD, FOREST HILLS, NY 11375-3961
(718) 263-2072
(718) 261-9082
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
204305
NY
Other
Enumeration date
02/16/2007
Last updated
07/08/2007
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